Aim: To compare outcome of Ligasure and Ferguson" haemorhoidectomy. 
Methods: Eighty patients with grade III & IV haemorhoids were prospectively randomized and underwent either Ligasureor "Ferguson" haemorhoidectomy. We documented preoperative data, perioperative, [operative time & blood loss], postoperative, [pain score, analgesia, morbidity, hospital stay, healing time, anorectal manometery and patient satisfaction over 6 months]. 
Results: Ligasure group achieved a significant reduction in operative time, blood loss (each, P = 0.001), pain score, analgesics at 1st, 3rd, 7th day, 2nd week (all, P<0.05), hospital stay and healing time (each, P < 0.05). Postoperative morbidity between both groups was insignificant. Manometeric changes {postoperative versus preoperative} were insignificant in Ligasure group (P>0.05), but in conventiona lgroup postoperative pressures were lower, resting (P, 0.0001), squeeze (P, 0.001). Also better 3rd month satisfaction was noticed in Ligasure group, p, 0.03. 
Conclusion: Ligasure haemorhoidectomy is superior to conventional haemorhoidectomy. Ligasure patients gain short term benefits: Reduced postoperative pain, wound healing time and better satisfaction. Cost remains the most important point against LVSS.